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Chronic fatigue syndrome: a hormonal origin? A rare case of dysmenorrhea membranacea.
Arch Gynecol Obstet 2009; 279(5):717-20AG

Abstract

BACKGROUND

Membranous dysmenorrhea is a rare entity involving expulsion of fragments of endometrium retaining the shape of the uterus. The condition is often linked to high progesterone levels. An association with a chronic fatigue syndrome was never described.

CASE

A 44-year-old woman with a chronic fatigue syndrome (CFS), presented with membranous dysmenorrhea after taking an oral contraceptive pill containing ethinylestradiol 0.02 mg and desogestrel 0.15 mg for 3 months in a continuous regimen as treatment for dysfunctional bleeding. Oral contraception was discontinued and she resumed normal menstruations. Remarkably, she mentioned complete disappearance of the CFS since expulsion of the tissue and started working again.

CONCLUSION

The occurrence of membranous dysmenorrhea with a dissolving chronic fatigue syndrome is very rare and was never described before. This case suggests a hormonal dysfunction as a possible cause of chronic fatigue syndrome. A review of the literature on membranous dysmenorrhea is presented.

Authors+Show Affiliations

Department of Obstetrics and Gynaecology, University Hospital Gasthuisberg, Catholic University Leuven, Louvain, Belgium.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

18787800

Citation

Veldman, Joan, et al. "Chronic Fatigue Syndrome: a Hormonal Origin? a Rare Case of Dysmenorrhea Membranacea." Archives of Gynecology and Obstetrics, vol. 279, no. 5, 2009, pp. 717-20.
Veldman J, Van Houdenhove B, Verguts J. Chronic fatigue syndrome: a hormonal origin? A rare case of dysmenorrhea membranacea. Arch Gynecol Obstet. 2009;279(5):717-20.
Veldman, J., Van Houdenhove, B., & Verguts, J. (2009). Chronic fatigue syndrome: a hormonal origin? A rare case of dysmenorrhea membranacea. Archives of Gynecology and Obstetrics, 279(5), pp. 717-20. doi:10.1007/s00404-008-0795-0.
Veldman J, Van Houdenhove B, Verguts J. Chronic Fatigue Syndrome: a Hormonal Origin? a Rare Case of Dysmenorrhea Membranacea. Arch Gynecol Obstet. 2009;279(5):717-20. PubMed PMID: 18787800.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chronic fatigue syndrome: a hormonal origin? A rare case of dysmenorrhea membranacea. AU - Veldman,Joan, AU - Van Houdenhove,Boudewijn, AU - Verguts,Jasper, Y1 - 2008/09/12/ PY - 2008/05/20/received PY - 2008/08/28/accepted PY - 2008/9/13/pubmed PY - 2009/6/16/medline PY - 2008/9/13/entrez SP - 717 EP - 20 JF - Archives of gynecology and obstetrics JO - Arch. Gynecol. Obstet. VL - 279 IS - 5 N2 - BACKGROUND: Membranous dysmenorrhea is a rare entity involving expulsion of fragments of endometrium retaining the shape of the uterus. The condition is often linked to high progesterone levels. An association with a chronic fatigue syndrome was never described. CASE: A 44-year-old woman with a chronic fatigue syndrome (CFS), presented with membranous dysmenorrhea after taking an oral contraceptive pill containing ethinylestradiol 0.02 mg and desogestrel 0.15 mg for 3 months in a continuous regimen as treatment for dysfunctional bleeding. Oral contraception was discontinued and she resumed normal menstruations. Remarkably, she mentioned complete disappearance of the CFS since expulsion of the tissue and started working again. CONCLUSION: The occurrence of membranous dysmenorrhea with a dissolving chronic fatigue syndrome is very rare and was never described before. This case suggests a hormonal dysfunction as a possible cause of chronic fatigue syndrome. A review of the literature on membranous dysmenorrhea is presented. SN - 1432-0711 UR - https://www.unboundmedicine.com/medline/citation/18787800/Chronic_fatigue_syndrome:_a_hormonal_origin_A_rare_case_of_dysmenorrhea_membranacea_ L2 - https://dx.doi.org/10.1007/s00404-008-0795-0 DB - PRIME DP - Unbound Medicine ER -